Organization
U SMILE FAMILY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIA KHOSHABA DMD (DENTIST)
(480) 359-1880
Entity
Organization
Contact information
Practice address
1350 E MCKELLIPS RD STE 7, MESA, AZ 85203-2739
(480) 359-1880
Mailing address
1350 E MCKELLIPS RD STE 7, MESA, AZ 85203-2739
(480) 359-1880
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245755776
NPI
AZ
Enumeration date
02/13/2019
Last updated
02/13/2019
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